Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN.0994506-NP | CO |
NPI | 1013475847 |
---|---|
Provider Name | Erica Gay Reiff |
First Address | Denver, CO 80205-4945 |
Second Address | Denver, CO 80205-4945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2019 |
Last Update Date | 11/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
APN.0994506-NP | CO APRN (01) | CO |
RXN.0103828-NP | CO RXN (01) | CO |